| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $162 | $174 | $196 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $132 | $174 | $196 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $255 | $273 | $309 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $314 | $382 | $417 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $53 | $82 | $100 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $136 | $142 | $149 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $132 | $177 | $227 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $236 | $251 | $265 |
| Office visit established patient minimal CPT 99211 • Office Visits | $13 | $21 | $32 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $54 | $57 | $59 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $88 | $92 | $97 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $91 | $136 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $184 | $192 | $199 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $97 | $123 | $140 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $180 | $188 | $196 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $266 | $276 | $287 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $53 | $56 | $59 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $96 | $101 | $105 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $138 | $144 | $150 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $95 | $101 | $108 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $138 | $147 | $156 |
| Consultation office low complexity CPT 99243 • Office Visits | $152 | $163 | $174 |
| Consultation office high complexity CPT 99245 • Office Visits | $270 | $316 | $362 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $1,004 | $1,004 | $1,004 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $98 | $98 | $98 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,666 | $1,666 | $1,666 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $483 | $483 | $483 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,687 | $1,687 | $1,687 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $888 | $888 | $888 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $638 | $638 | $638 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,530 | $1,530 | $1,530 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $1,099 | $1,099 | $1,099 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $301 | $301 | $301 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $2,309 | $2,309 | $2,309 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $990 | $990 | $990 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $1,704 | $1,704 | $1,704 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $856 | $856 | $856 |
| Excision chalazion single CPT 67800 • Ophthalmology | $180 | $180 | $180 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $830 | $830 | $830 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $207 | $207 | $207 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $63 | $63 | $63 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $85 | $85 | $85 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $66 | $66 | $66 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $97 | $97 | $97 |
| Visual field examination CPT 92083 • Ophthalmology | $24 | $24 | $24 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $14 | $14 | $14 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $42 | $42 | $42 |
| Fundus photography CPT 92250 • Ophthalmology | $21 | $21 | $21 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $52 | $66 | $79 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $53 | $63 | $72 |